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Montana rates for HCPCS 79005

Rp Therapy Oral Administration

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.29 / $137.41 / $218.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.87 / $129.87 / $210.85
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$129.87 / $129.87 / $160.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.97 / $188.45 / $270.54
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$129.87 / $129.87 / $160.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.40 / $183.32 / $247.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.25 / $124.43 / $248.45